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Home My WebLink About4-29-13 . ' .. muy of 4ltmtttry ~thn!ltinu ilttb- NO. r'ln'?1 ( . THIS INDENTURE MADE TIalI ....,.. .2,7 th . . day of ..... January. . .. .... .. ..... .. ...... .. ... A. D., 1&9.9.... between Ihe City of Seb"tlan, a municipal corporation existing under the laws of the State of Florida, a8 Grantor and , , ' , . . , . , , ' . .. ,. . . . . " . . .. .. . . . . .. . .-J9.~tu:l~ . Wil.~~x~.Q\1,"713wk~. ... .. . .. . . . . . . . . . ' , ' , . ' . . . . . . . . . . . . . . 8335 135th lane, Sebastian, Fl 32958 ......................... ""....,.....,..... .... ......... ....P..O. ,Box .943.,. Roseland,. F.l. .32957... ,.."..,...,....,........................... ot the County ot ~n9:~M. .J.q.,y~.:r;-. . . . , . . . . , . . . . . , . . . .. . .. . .. ani State of ..' nq:J;';i,q.?, , . , . . . . . . . . . . . " . . . . . , , . . . . . . . . . . . . . . . .. . as Grantee, WITNESSETH, That the Grantor for and in consideration of Ihe sum of $ ~~:.Q9. . . . . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof Is herewith ac- knowledged, does by this instrument grant, bargaID, sell, release, convey and conIum unto the Grantee h~~.. . .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ~~. .. .. ,Block,. ~.~ . ... , UNIT ~ . . . . . . .. .. .. . of Sebastian municipal cemetery as per Plst Number 1 thereof recorded in Plst Book 2, at page 6S of the public records In the offlce of the Clerk of the Circuit Court of St. Lucie County of Florida; said Isnd now IYIna and bellll in Indian River County, Florida. . To Have and to Hold the SIUI1e forever; provided that said property shall be used solely and exclusively for the interment of the human dead and shall be usad, kept and maJJ\taJJ\ed at aU time. In accordance with the rllleland reaulslionl, ordlnancel and relOlutlons of the City of Sebastian, Florida, hereto- tore, now and "ereaner adopted or provided tor the ,overnment IIIId oparadon of Ia.Id cemetery. the conditions, restdlldon. and f84111r.manu contalnad in this instrument shall be covenants running with the Isnd. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with such rules, regulstions, resolutions and .ordinances and the conditions of the deed of conveyance thereof then the title of such owner In and to said property shaU terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the lUst part has caused this instrument to be executed in its name and on its behalf by its Mayor and attested by its City Clerk and its corporate seal to be hereto amxed, the day and year lUst above written. CITY OF SEBASTIAN, FLORIDA Attest;'l~., ,.". .m. ,t)tltdIM-.~...,. .~ City Clerk By {L~..................... Mayor eale nnd Delivered re~e .~e Of,CZ.?1i. .~... ~..........,.,.. .~.........., (<<Iitl! ~ellJ) STATE OF FLORIDA COl'NTY OF INDIAN RIVER 1 HEUEDY CERTIFY, That on thle .............?}.~~....day of ..............].~n1-\(l.:J;y............................ 111.99.. Ruth Sullivan Kathryn M. O'Halloran before me personally appeared .................,..,......,...,.,...,',."...,..,"",.,.. and .,....,................................ respt'elively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the IndlvitlulIls nnd officers described In and who exeeuted the 'ofl'golng cORveynnce to Joanne Wilkerson-Burke ................................................................................................................................ . , , , . . . . , , . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledgt'd the execution thereof to be their free act and deed ss such officers thereuuto duly authorized; and that the Official seol of said corporation Is at d thereto, and tbe said conveyance I. the lIet IInd deed of said corporation. WITNESS my signature and official leal at Sebastian In the iast aforesaid. ~ v r.\... ,.LJ 01.....), J-.t.t..~Sor0 Name~o..~-U~{r\"- __M. ::l..J- UnitJ Block ~~ 13 Lot Date of Mark-out Jtln f ati ,(~ V'~f ! Cf1 STI< uAJ I<':~ Nameof.F.u,,-~~al ~~~.i'fi ",,\ /)' Ti~e 11/00 A.I'1.- Date of Burial - ,i-;) Authoriz.ed bY.::-:,~jo(.",,"" '> '.,.;~,'l' -/' / Q,~, "._._-----_..--_.------_._--_.,--~------ . <-I-z(j- 3 NO. Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . List Price $ . . ~9~: 9~ . . . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . . 500.00 Net PaId $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . (, 16 71 (Data above this line for City Beeord only) " .. . . THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA PT I . HEREBY ACKNOWLEDGED OF THE SUM OF: tffl. ~ Dollars (~J.;?ti- ) FROM: , lJI ~ ~or the purchase o~ the o ,l.Ni.eb;' S} upon the terms and Description of Property: . cemetery z.o~(S$l:JL--~:? Purchase Pr~ce. ~ Terms and Condition of sale: Block c91 Unit V Dollars ($ J This contract shall be binding upon both Parties, the seller and the purchaser, when approved by the owner of the property above described.' I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing inStrument: . The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on e t ann itions stated in ~e above instrument. Witness .. .. . . ,~y 0 '" " \ "" (;J . ~ ~ - ,~ -l-a~4S~~ ",~ 0" PEUC..... ' City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 February 4, 1999 Joanne Wilkerson-Burke P.O. Box 943 Roseland, FL 32957 Dear Mrs. Wilkerson-Burke: Enclosed is Cemetery Deed No.1671 for Lot 13, Block 29, Unit 4. Also enclosed is a fonn - Return for Transfers of Interest in Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, P. O. Box 1028, Vero Beach, Florida 32960 or you may call (561) 567-8000 for more infonnation. We are enclosing two copies of the Receipt and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Sincerely, ~m. ()~A.. Katluyn M. O'Halloran., CMC/AAE City Clerk KOH:lmg Enclosures . . I , H !i , I M oi !~ J. I rI ni I 0 j l"- t ....r ~ 0 tEl m , G f/) t g' a: \ < 1 11): -I -I 0 1 0 ~ .... . I. .. . j ! { C .~ f w :EW O::loo Zit) ... W Ol _>N <'" ..I -I -I <c<u.. a:~:z WZ~ ZWt- Of/) ::) ,< LL. Z lD ",W ~fijf/) Z.... ::) a: l- f/) - W t- < o 1 -, (/) . z w~ ~ "i J:Wr1J- · )-t-o <oa: Q.t-O .. - nJ r1"l .3 LD o o ~ LD o .. - ~ r1"l - ~ .3 ~ g ~ ~ .. x c: o u.. I~ State O.da, Deparbnent of Health, Vital Statistics . APPLI ON FOR BURIAL - TRANSIT PERMIT t./3 I3J1 L/I-( A. 1. Name of Deceased (Type or Print) First Middle Last Month Day Year Vero Beach Medical Examiner DATE OF Wilkerson DEATH Jan. 17 1999 Name of (If neither, give street address) Hosp. or Inst. I ndian River Memorial Hos ital Address Phone Number 2. Place of Death County I ndian River 3. Name of Medical Certifier Geor e Mitchell 4, Name of Funeral Home/ Bireet EJi5...v.,~r Katherine City, Town or Location D.O. X Physician 13855 U. S. #1 Address 1623 North Central Ave. Sebastian, FI 1228 561-589-1000 The medical certification has been completed and signed. A completed certificate of death accompanies this application. Sebastian FI 561-589-8992 Fla. Lic. No.1 Reg, No. Phone Number (Area Code) Strunk 5, Check Appro- priate Box Funeral Home a 0 b~ L ydee was contacted on 1/18/99 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Mitchell will complete and sign the medical certification of cause of death. c 0 was contacted on , He/she verified that ,Medical Examiner, will complete and sign the medical certification. 6. Place of Sebastian Final Disposition: 7. Funeral Director / liairilst Cispseer I ndian River FE No.1 Reg. No. 1862 Removal from state Donation Date Signed 1 18 99 B, BURIAL - TRANSIT PERMIT Permit No. 1228-98-0034 Permission is hereby granted to dispose of this body. o A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. o No extension of time for filing the death certificate requested, ~~g9iiltrir Qr.. ~ M... <1. U. Subregistrar Signature · r\ rT .J..... · ~ cJ Date . I 'I - ,-... Date ~r.fiqate "" .. (..... Issued:~Due: ~ C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA , Medical Examiner Date Signature or Medical Examiner, , gave authorization by telephone to Funeral Director/Direct Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after death is required for all cremations, D, CEMETERY OR CREMATORY Methods of Disposition: 1Ji BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of D~pos;Uon ~ ~ Date of Disposition ) )/ Signature of Sexton ) or Person-in-Charge) 71' '~I D {'h.J.L This permit must be endorsed by the Secton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the County where disposition occurred. DH 326,10/96 (Replaces HRS Form 326 which may be ueed) (Stock Number: 5740-000-0326-2)